Active NPI
Kimberly G Castner, APRN
- Nurse Practitioner
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11001386
- Practice address
- 2222 S Harbor City Blvd Ste 610
Melbourne, FL 32901-5591 - Phone
- (321) 723-7716
- Fax
- (321) 723-0604
- NPI assigned
- Feb 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11001386 | FL | Primary |
Addresses
Primary practice location
2222 S Harbor City Blvd Ste 610
Melbourne, FL 32901-5591
Mailing address
2222 S Harbor City Blvd Ste 610
Melbourne, FL 32901-5591
Phone (321) 723-7716
Other practice location 1
1223 Gateway Dr Ste 2E
Melbourne, FL 32901-2607
Phone (321) 312-3494
Other practice location 2
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 312-3494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6420 3Rd St
Suite 104
Rockledge, FL 32955-5788
Phone (321) 757-9711
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11001386 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suntree Medical Associates, P.a. | Current | Accepting new patients |
Locations
6420 3rd St
Ste 104
Rockledge, FL 32955
Phone (321) 253-3944
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70176
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Rockledge, FL
- NPI 1265620744
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1891252326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 S HARBOR CITY BLVD STE 610",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329015591",
"telephone_number": "321-723-7716",
"fax_number": "321-723-0604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 S HARBOR CITY BLVD STE 610",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329015591",
"telephone_number": "321-723-7716",
"fax_number": "321-723-0604"
}
],
"practiceLocations": [
{
"address_1": "1223 Gateway Dr Ste 2E",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329012607",
"country_code": "US",
"telephone_number": "321-312-3494",
"fax_number": "321-952-6946",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 Hickory St",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-312-3494",
"fax_number": "321-952-6946",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTNER",
"first_name": "KIMBERLY",
"middle_name": "G",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11001386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.